- O tempo de trânsito colônico segmentar com marcadores radiopacos apresenta, quando comparado ao tempo de trânsito colônico simples ou total, resultados mais definidos para o padrão de constipação intestinal.
- O padrão de trânsito colônico mais prevalente no grupo estudado foi o aumento de trânsito devido à retenção de marcadores em cólon esquerdo.
- Não houve relação definida entre a freqüência de evacuações e o retardo do trânsito. - Não houve relação definida entre esforço evacuatório e aumento de trânsito em
retossigmóide.
- O tempo de trânsito colônico não foi maior com o aumento da idade nos portadores de constipação intestinal crônica.
- O tempo de trânsito colônico não foi maior com o aumento do tempo de evolução dos sintomas nos portadores de constipação crônica.
- O método de medida do tempo de trânsito colônico simplificado presta-se bem para a avaliação de pacientes portadores de constipação intestinal, principalmente na avaliação do trânsito colônico total.
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ANEXOS
ANEXO I
Características dos portadores de constipação crônica incluídos no estudo
Paciente Idade Sexo Tempo de
Evolução Esforço
Intervalo entre evacuações
Evacuação Incompleta
1 25 F 10 anos Sim 8 dias Sim
2 50 F 30 anos Sim 4 dias Sim
3 38 F 4 anos Sim 4 dias Sim
4 30 M 10anos Sim 20 dias Não
5 73 M 5 anos Não 10 dias Sim
6 50 F 10 anos Sim 20 dias Sim
7 34 F 1 ano Sim 5 dias Sim
8 55 F 40anos Sim 3 dias Não
9 50 F 2 anos Sim 10 dias Não
10 45 F 12 anos Sim 3 dias Sim
11 35 F 10 anos Sim 3dias Sim
12 47 F 27 anos Sim 3 dias Sim
13 67 F 30 anos Sim 8 dias Sim
14 66 F 36 anos Não 3 dias Não
15 31 F 20 anos Sim 14 dias Sim
16 45 F 1 ano Sim 5 dias Sim
17 49 F 3 anos Não 7 dias Sim
18 22 F 7 anos Sim 20 dias Sim
19 21 F 10 anos Sim 5 dias Sim
20 41 F 20 anos Sim 8 dias Sim
21 43 F 20 anos Sim 10 dias Sim
22 59 F 10 anos Sim 2 dias Sim
23 39 F 4 anos Sim 15 dias Sim
24 36 F 6 anos Não 30 dias Não
25 49 F 10 anos Sim 10 dias Sim
26 68 F 30 anos Sim 7 dias Sim
27 30 F 15 anos Sim 15 dias Sim
28 63 F 40 anos Sim 7 dias Sim
29 42 F 30 anos Sim 8 dias Sim
30 32 F 3 anos Sim 4 dias Sim
ANEXO II
TERMO DE CONSENTIMENTO PÓS-INFORMADO
Esse estudo visa, através da determinação do tempo de trânsito colônico, o estudo das alterações motoras do intestino que podem ser responsáveis por determinar a constipação intestinal.
Os participantes do estudo receberão cápsulas preenchidas por pequenos anéis obtidos do corte de tubo de látex, que não terão qualquer efeito sobre seu organismo. Estes pequenos anéis de látex poderão ser visualizados ao longo do intestino grosso em radiografias simples de abdome, realizadas sem qualquer preparo.
A radiação a que os participantes do estudo estarão expostos durante será a correspondente a 4 (2 para os controles) radiografias simples de abdome, o que não acarretará risco .
Durante a realização do estudo entre os controles solicita-se que os mesmos informem a ocorrência de evacuações, através da marcação em diário próprio.
A pesquisadora estará à disposição para responder quaisquer dúvidas podendo ser contatada em qualquer momento do estudo.
Sua participação é voluntária e você poderá desistir caso não esteja seguro.
Estando ciente dos objetivos desse estudo concordo em participar do mesmo comprometendo-me a cumprir as recomendações que me forem dadas.
Nome do participante______________________________________________ Idade: __________ Documento de identidade:__________________________
Assinatura ______________________________________________________ Testemunhas: ____________________________________________________ ____________________________________________________
ANEXO III
ESTUDO DO TEMPO DE TRÂNSITO COLÔNICO
Esquema para realização do tempo de trânsito colônico em voluntários com hábito intestinal normal:
NOME: _______________________________________________________
DIA MARCADORES RX de abdome EVACUAÇÃO OBSERVAÇÃO
Sábado X Domingo X Segunda-feira X Terça-feira X Quarta-feira Quinta-feira Sexta-feira X
Paciente Idade Sexo Tde Evolução Intervalo Dor Abd Sint som ttcsegm ttcd ttce ttcrs 1 AL 25 F 10 8 Sim Sim 116 23 83 0 2DS 50 F 30 12 Sim Sim 95 30 54 11 3 HF 38 F 4 4 Sim Sim 66 14 7 25 4 HG 30 M 10 20 NÃO NÃO 40 1 4 35 5JS 73 M 5 10 NÃO Sim 72 44 28 0 6LM 50 F 10 20 Sim Sim 122 25 50 47 7MB 34 F 1 5 Sim Sim 54 10 26 18
8 AMF 55 F 40 3 NÃO Sim 68 22 25 22
9 JPQ 50 F 2 10 Sim Sim 110 37 51 22
10MNO 45 F 12 3 Sim Sim 58 18 31 9
11MCONCEI 35 F 10 3 Sim Sim 41 17 14 10
12 ACD 47 F 27 3 Sim NÃO 139 37 96 6
13MPS 67 F 30 8 Sim Sim 144 26 117 1
14SAT 66 F 36 3 Sim Sim 112 85 24 3
15SGF 31 F 20 14 Sim Sim 127 24 59 44
16MPS 45 F 1 5 NÃO Sim 118 64 50 4
17SON 49 F 3 7 NÃO Sim 137 7 66 65
18VAL 22 F 7 20 NÃO Sim 59 37 22 0
19JUS 21 F 10 5 NÃO Sim 72 17 34 11
20ELS 41 F 20 8 Sim Sim 110 14 56 40
21ERL 43 F 20 10 Sim Sim 127 11 71 45
22CORM 59 F 10 2 Sim Sim 16 8 7 1
23ADR 39 F 4 15 Sim Sim 17 10 5 2
24APC 36 F 6 30 NÃO Sim 131 71 49 11
25AGD 49 F 10 10 Sim Sim 152 61 91 0
26BDT 68 F 30 7 Sim Sim 106 42 32 32
27KMG 30 F 15 15 Sim Sim 107 3 70 34
28MRA 63 F 40 7 Sim Sim 90 10 57 23
29MJS 42 F 30 8 Sim Sim 121 35 73 13
30ANT 32 M 3 4 NÃO NÃO 35 26 5 4
31RSN 25 F 2 15 Sim Sim 72 17 43 12 CONTROLES RNT 34 F 43 10 5 28 SN 53 F 23 0 2 21 ILD 34 F 6 4 2 0 MS 49 F 17 17 0 0 APL 23 F 23 11 6 6 AND 23 F 24 0 2 22 ANDR 20 F 65 7 12 46 ANCR 25 F 65 2 3 60 ADRO 26 M 41 13 16 12 JSM 21 F 12 0 0 12
Paciente
Ttc- Hinton
Marc.CD Marc.CE Marc.RS Padrão TTC- Metcalf Padrão TTC- Hinton ESFORÇO EVINCOMP 1 AL 14 3 11 0 CE CE SIM SIM
2DS 2 0 0 2 CE Normal SIM SIM
3 HF 6 0 3 3 Normal CE+RS SIM SIM
4 HG 18 0 0 18 Normal RS SIM NÃO
5JS 18 16 2 0 CD CD NÃO SIM
6LM 3 1 0 2 CE+RS Normal SIM SIM
7MB 1 0 0 1 Normal Normal SIM SIM
8 AMF 13 0 1 12 Normal RS SIM NÃO
9 JPQ 20 12 8 0 CD+CE CD+CE SIM NÃO
10MNO 8 0 3 5 Normal CE+RS SIM SIM
11MCONCEI 7 0 3 4 Normal CE+RS SIM SIM
12 ACD 20 6 12 2 CD+CE CD+CE SIM SIM
13MPS 14 0 12 2 CE CE SIM SIM
14SAT 15 0 10 5 CD CE+RS NÃO NÃO
15SGF 15 0 15 0 CE+RS CE SIM SIM
16MPS 20 0 20 0 CD+CE CE SIM SIM
17SON 19 0 12 7 CE+RS CE+RS NÃO SIM
18VAL 2 1 1 0 CD Normal SIM SIM
19JUS 0 0 0 0 Normal Normal SIM SIM
20ELS 15 2 3 10 CE+RS CE+RS SIM SIM
21ERL 18 0 6 12 CE+RS CE+RS SIM SIM
22CORM 0 0 0 0 Normal Normal SIM SIM
23ADR 1 0 0 1 Normal Normal SIM SIM
24APC 15 5 10 0 CD+CE CD+CE NÃO NÃO
25AGD 12 0 12 0 CD+CE CE SIM SIM
26BDT 10 0 0 10 CD RS SIM SIM
27KMG 0 0 0 0 CE NORMAL SIM SIM
28MRA 12 2 4 6 CE CE+RS SIM SIM
29MJS 3 0 2 1 CD+CE CE+RS SIM SIM
30ANT 0 0 0 0 Normal Normal SIM SIM
31RSN 20 12 8 0 CE CD+CE SIM SIM
CONTROLES RNT 0 0 0 0 SN 0 0 0 0 ILD 0 0 0 0 MS 0 0 0 0 APL 0 0 0 0 AND 0 0 0 0 ANDR 0 0 2 2 ANCR 0 0 0 0 ADRO 0 0 0 0 JSM 0 0 0 0